Indian Child Welfare: Forms

A number of forms (templates) have been developed to assist public child welfare agencies in identifying Indian children in a more timely and effective manner. They will help to provide notice to the child's tribe or possible tribe as required by the Indian Child Welfare Act (ICWA). The forms that can be accessed through eWiSACWIS are:

Forms Number Title
DCF-F-CFS2016-E Request for Confirmation of Child's Indian Status (PDF)
DCF-F-CFS2017-E Notice of Involuntary Child Custody Proceeding of an Indian Child (PDF)
DCF-F-CFS2322-E Screening for Child's Status as Indian (PDF)
DCF-F-CFS2323 Child's Biological Family History (PDF)
DCF-F-CFS-2425 Voluntary Placement Agreement for an Indian Child (PDF)
DCF-F-CFS-2425 Voluntary Placement Agreement for an Indian Child (WORD)

The Screening for Child's Status as Indian form contains the basic questions county child protective services (CPS) staff should ask to determine whether a child is an Indian child.

ICWA requires that the agency seeking to place a child involuntarily provide notice to the tribe(s) or the Bureau of Indian Affairs (BIA). In order for the notice to be adequate, the agency should provide the tribe or tribes with sufficient information to determine whether the child is a member of or eligible for membership in a tribe. The Child's Biological Family History form has been developed for this purpose.

The Request for Confirmation of Child's Indian Status form is a request to the tribe(s) or BIA to determine whether the child at issue is a member or eligible for membership. CPS staff may use this form before the child is removed, or it can serve as a cover memo for the Notice of Involuntary Child Custody Proceeding of an Indian Child form.

The Notice of Involuntary Child Custody Proceeding of an Indian Child form complies with the notice requirements of ICWA and includes identification of the parties, current placement of the child, hearing information and contact information. In addition, a Notice of Rights under the ICWA is attached to the Notice of Involuntary Child Custody Proceedings, which helps ensure that the parties are made aware of their rights under the law.

Contact Information

Last Revised: February 12, 2014


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